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They may be fitted into a cigarillo holder in order to be smoked, though they are most often smoked without such a device

[47] There are also social concerns - use of e-cigarettes may normalize tobacco use and prolong cigarette use for people who could have quit, and it could put extra pressure on smokers to stop cigarette smoking because e-cigarettes are a more socially acceptable alternative

This study projects health and disparity impacts for several decades into the future, yet over time, populations are likely to shift along with the communities that meet the criteria to be categorized as a disadvantaged community